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Therapist HQ

Therapist HQ

Written by: Alicia Murray
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Your weekly private practice pep talk hosted by Alicia Murray, LMHC, owner of a virtual group therapy practice and a consulting firm for therapists starting or growing their private practice. During your weekly private practice pep talk, we'll normalize struggles as a therapist and business owner, have some laughs along the way, and continue to create and grow our private practice in a way that is sustainable and profitable.Alicia Murray Economics Leadership Management & Leadership
Episodes
  • The one afternoon audit that changes your entire year
    May 29 2026

    Feeling like the year is flying by and you're just barely hanging on? This episode is your wake-up call — your secret weapon to take control now, re-align, and crush your goals in the second half of the year. Don't wait until December — it's time for a bold, honest, and fierce mid-year check-in.
    In this episode:


    • Why the mid-year point is the most underrated moment for reflection and realignment
    • How to do a structured practice audit focusing on five key areas
    • The importance of your numbers and what they reveal about your practice’s health
    • How to evaluate your caseload composition for burnout prevention
    • The crucial role of marketing insights and visibility tracking
    • Why system and time management tweaks can skyrocket your efficiency
    • The vital importance of your personal well-being for sustained success
    • How to make data-driven decisions that transform your second half


    Timestamps:

    00:00 - Why the mid-year point is a hidden goldmine for practice growth

    02:00 - How to do a simple yet powerful practice audit in one afternoon

    03:16 - Step 1: Pulling your key numbers — revenue, caseload, no-shows, expenses

    04:34 - Understanding what your data tells you versus what you feel

    05:02 - Reassessing your revenue goals and tracking progress mid-year

    05:53 - Caseload composition: Who are you working with and how it affects burnout

    07:10 - Analyzing client demographics, niche fit, and fee structures

    08:32 - Tracking marketing efforts and sources of new clients

    09:49 - Are your marketing strategies still aligned and sustainable?

    11:19 - The power of tools like Mentaya for insurance and out-of-network billing

    11:43 - System audits: How to optimize scheduling, admin, and automation

    13:30 - The importance of your personal well-being in practice success

    14:22 - How a quick practice audit can lead to smarter second-half decisions

    15:09 - Resources: Free practice audit, launch kit, and community support options

    17:37 - Therapist and the Threads: Growing through niche specialization

    18:03 - Real stories of practice growth and smart marketing strategies

    19:44 - Mindset shift: Long-term vision vs quick hustle

    20:17 - Take action: Do your mid-year audit, course correct, and lead your practice with confidence

    Resources & Links:

    • Free Private Practice Audit - Download this simple, effective spreadsheet to assess and plan your next steps
    • Jane EHR - My preferred practice management system, with a free month offer
    • Mentaya - Benefits checker for private practice, use code THERAPISTHQ
    • Private Practice Launch Kit - Get started with your practice branding and setup
    • Find Your Niche, Fill Your Practice - An in-depth marketing course

    • HQ Marketing Community - Ongoing support and marketing tools for private practices

    Stay Connected:

    • Instagram
    • Facebook
    • Website

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    21 mins
  • How to successfully tranistion from insurance to private pay
    May 21 2026

    Are you feeling the storm brewing in your practice? Recent changes with insurance reimbursements - especially Aetna’s bold move to cut payouts - are a wake-up call for therapists everywhere. This episode is your rallying cry to take control, embrace a sustainable private pay model, and rebuild your practice stronger than ever.


    In this episode:

    • Why Aetna's reimbursement cuts could financially cripple your practice

    • The emotional barriers and fears around dropping insurance panels

    • Real stories of therapists successfully transitioning off insurance

    • Practical strategies for a cold turkey vs. gradual shift to private pay

    • How to leverage group NPI billing to ease transition fears

    • Essential legal checks before dropping panels

    • Introducing Mentaya: Making out-of-network billing simple

    • Personal journey from insurance to private pay and lessons learned

      • Key reflections on the cost of inaction and systemic changes
      • Power of community stories and success from Reddit threads

      Resources & Links:

      • Mentaya — Benefits checker for private practice, use code THERAPISTHQ

      • Private Practice Launch Kit — Get started with your practice branding and setup

      • Find Your Niche, Fill Your Practice - An in-depth marketing course

      • HQ Marketing Community — Ongoing support and marketing tools for private practices

      Stay Connected:

      • Instagram

      • Facebook

      • Website


      Timestamps:

      00:00 - The insurance crisis: Aetna’s recent reimbursement cuts explained

      02:25 - Why therapists must consider going private pay now more than ever

      04:40 - Understanding the emotional roots of resistance to dropping insurance

      06:44 - The true cost of inaction on your practice and mental health

      08:21 - Assessing your current insurance reimbursement system

      10:08 - Mentaya: Your tool to simplify out-of-network billing

      13:42 - How I transitioned from insurance to private pay — a personal story

      14:06 - The "cold turkey" approach — pros and cons

      15:01 - Gradual transition: How to phase out insurance with minimal shock

      16:24 - Using group NPI to keep your options open while shifting to private pay

      17:40 - Combining strategies for a tailored, sustainable approach

      19:15 - Legal and contractual considerations before dropping panels

      20:32 - The power of community success stories — therapists thriving off insurance

      22:10 - Practical steps and mindset shifts to make the leap

      24:02 - Resources to launch and grow your private practice confidently

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    27 mins
  • Readiness is holding you back in private practice
    May 13 2026

    Are you waiting for a sign? For a perfect moment when everything lines up and you finally feel "ready"? STOP waiting. This episode shatters the myth that readiness is a feeling you get — it's a decision you make. If you've been holding back, this one’s for you!

    In this episode:

    • How the myth of "being ready" keeps therapists stuck and unfulfilled

    • The root causes of this widespread readiness trap—culture, comparison, fear

    • Why waiting might be costing you more than you realize—financially, emotionally, professionally

    • The key signs that you are more prepared than you think

    • A powerful readiness reality check to clarify what you need to move forward

    • How fear is often mistaken for a lack of readiness—and how to push through it

    • Practical steps to decide YOU are ready to launch or grow your practice

    Timestamps:

    00:16 - Why "being ready" is a myth holding therapists back

    02:17 - How fear often masquerades as unreadiness

    04:05 - The real cost of waiting—what it's costing your business & energy

    06:17 - The truth about your clinical skills and what truly makes you ready

    09:15 - How comparison sabotages your progress

    10:58 - The readiness truth: it’s a decision, not a feeling

    13:28 - Your personalized readiness reality check questions

    14:23 - Unmasking the arbitrary "bars" you've set for yourself

    16:36 - Why fear doesn't disqualify you and how to embrace it


    Resources & Links:

    • Mentaya — Benefits checker for private practice, use code THERAPISTHQ

    • Private Practice Launch Kit — Get started with your practice branding and setup

    • Find Your Niche, Fill Your Practice - An in-depth marketing course

    • HQ Marketing Community — Ongoing support and marketing tools for private practicescaseload


    Stay Connected:

    • Instagram

    • Facebook

    • Website

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    20 mins
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